Ngaba ungumntu onesifo seswekile sohlobo lwesibini? Ukuba kunjalo, ugqirha wakho usenokuba ukunike iyeza elibizwa ngokuba yiTolazamide. Usenokuba ulazi ngegama elithi Tolinase. Eli liyeza elibaluleke kakhulu elinceda ekulawuleni isifo seswekile. Ngoko ke namhlanje, masithethe ngale yeza ngendlela elula neyobuhlobo.
Yintoni kanye kanye iTolazamide?
Ngamafutshane, iTolazamide liyeza elinceda ukulawula isifo sakho seswekile. Lisebenza ngokunceda umzimba wakho usebenzise i-hormone insulin ngokufanelekileyo. Ngokuchanekileyo, linika umzimba wakho amandla amancinci kwi-insulin, linceda ukuba isebenze ngokufanelekileyo.
Kodwa khumbula into enye. Awunakulawula isifo seswekile ngokuthatha eli yeza wedwa. Kufuneka ulandele ukutya okunempilo kunye nokuzilolonga . Kuphela xa zonke ezi zintathu zidityanisiwe apho ufumana iziphumo ezilungileyo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza
Ngaphambi kokuba uqale i-tolazamide, kubaluleke kakhulu ukunika ugqirha wakho inkcazo epheleleyo yemeko yakho yempilo. Qiniseka ukuba ubaxelela ngayo nayiphi na kwezi meko zingezantsi.
- Ukuba uneDiabetic Ketoacidosis (imeko enzima apho igazi liba neasidi) ebangelwa sisifo seswekile.
- Ukuba une-enzyme deficiency ebizwa ngokuba yi -G6PD deficiency .
- Ukuba unesifo sentliziyo, isifo sezintso, okanye isifo sesibindi.
- Ukuba kukho ingxaki kwi-thyroid gland.
- Ukuba usandul’ ukufumana usulelo okanye ukwenzakala okukhulu.
- Ukuba une -allergies kwi-tolazamide, amayeza e-sulfa, okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ukuba ukhulelwe okanye uzama ukukhulelwa .
- Ukuba ungumama oncancisayo .
Ngokusekelwe kolu lwazi, ugqirha uya kugqiba ukuba eli yeza lifanelekile kuwe okanye akunjalo, okanye ukuba kufuneka kutshintshwe idosi.
Ndingayisebenzisa njani le mithi?
Kubaluleke kakhulu ukwazi kakuhle indlela yokusebenzisa iyeza.
- Ginya le pilisi ngeglasi yamanzi.
- Udinga ukuyisela kanye ngemini, kunye nesidlo sakusasa okanye isidlo sokuqala esiphambili sosuku .
- Ziqhelise ukusela amayeza akho ngexesha elifanayo yonke imihla. Ngale ndlela, awuyi kulibala kwaye amayeza aya kusebenza ngcono.
- Musa ukusela ngaphezu komlinganiselo omiselwe ngugqirha.
Kwabancinci nakwabadala
Eli yeza alinikwa abantwana rhoqo. Nangona kunjalo, ukuba kuyimfuneko ukulinikwa kwimeko ekhethekileyo, kufuneka uthethe nogqirha wakho wezingane ngalo. Umzimba wabantu abangaphezu kweminyaka engama-65 ubudala unokusabela ngamandla ngakumbi kweli yeza. Ke ngoko, badla ngokunikwa idosi ephantsi.
Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba ngempazamo uthathe amayeza amaninzi kakhulu, ungalibazisi. Tsalela umnxeba iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Kuthekani ukuba ndilibele ukusela amayeza am?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokuthatha idosi yakho elandelayo (umzekelo, kwiiyure ezimbalwa), yeka idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha eliqhelekileyo. Musa ukuthatha iidosi eziphindwe kabini ukuze ubuyisele idosi oyilibeleyo.
Ezinye izinto ezinokusebenzisana nale mithi (Intsebenziswano)
Amanye amayeza owasebenzisayo anokusebenzisana neTolazamide aze abangele ukuba amanqanaba eswekile egazini lakho ehle ngequbuliso (hypoglycemia) okanye anyuke (hyperglycemia). Ngoko ke kufuneka uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka iivithamini, amayeza esintu, kunye neemveliso zezityalo.
| Uhlobo lweyeza/into | Izinto ekufuneka ziqwalaselwe |
|---|---|
| Amayeza ekufuneka uwalumkele ngakumbi | Amayeza afana neBosentan, iChloramphenicol, iCisapride, iWarfarin, iProbenecid, amayeza okulwa nentsholongwane (umz. iFluconazole). |
| Izinto ezinokuchaphazela amanqanaba eswekile egazini |
|
Olu luhlu aluphelelanga, ngoko ke kungcono ukwazisa ugqirha wakho malunga nawo onke amayeza owasebenzisayo.
Izinto ekufuneka uzikhumbule xa usebenzisa amayeza
- Ukuhlolwa rhoqo: Hlala unxibelelana nogqirha wakho kwaye ujonge imeko yakho yeswekile rhoqo. Yenza uvavanyo lwegazi olubizwa ngokuba yi -HbA1C ubuncinane kanye kwiinyanga ezi-3-6. Oku kunokukunceda ubone indlela iswekile yakho egazini elawulwa ngayo kwiinyanga ezimbalwa ezidlulileyo.
- Yazi amanqanaba eswekile egazini lakho: Funda indlela yokujonga iswekile yakho egazini ekhaya. Qaphela iimpawu zeswekile ephantsi egazini (hypoglycemia) kunye neswekile ephezulu egazini (hyperglycemia).
- Gcina iswekile kufutshane: Soloko ugcina iqhekeza lelekese, ityhubhu yeswekile, okanye ithebhulethi yeswekile kufutshane ukuze iswekile yakho yegazi iwele ngequbuliso. Ukuba unesithuthwane okanye ulahlekelwe zingqondo ngenxa yeswekile ephantsi egazini, xelela usapho lwakho kunye nabahlobo bakho ukuba kuyingozi ukufaka nantoni na emlonyeni wakho. Ukuba oku kuyenzeka, kufuneka uye esibhedlele ngoko nangoko.
- Lumka ngelanga: Eli yeza lingenza ulusu lwakho lube buthathaka kancinci elangeni. Ngoko ke nciphisa ukuvezwa kwakho lilanga elinamandla. Ukuba kufuneka uphume, nxiba impahla yokuzikhusela kwaye ufake i-sunscreen .
- Isazisi sezonyango: Ukuphatha ikhadi okanye isongo sesazisi sezonyango esichaza ukuba unesifo seswekile kunye namayeza owaselayo anokuba luncedo kakhulu xa kukho imeko engxamisekileyo.
Iziphumo ebezingalindelekanga ezinokubakho ngenxa yamayeza
Njengalo naliphi na iyeza, iTolazamide inokubangela iziphumo ebezingalindelekanga kwabanye abantu.
| Uhlu lweziphumo ebezingalindelekanga | |
|---|---|
| 🚨 Iimpawu ekufuneka zixelwe kugqirha ngoko nangoko | |
| Iimpawu zeswekile ephantsi egazini | Ukungcangcazela, ukubila okugqithisileyo, indlala egqithisileyo, ukungazinzi, isiyezi, ukubetha kwentliziyo ngokukhawuleza, ukubona okufipheleyo, ukulahlekelwa zingqondo. |
| Iimpawu ze-aleji | Ukurhawuzelela okukhulu kolusu, ukurhawuzelela, ukudumba, ubunzima bokuphefumla. |
| Ezinye iimpawu ezinzulu | Ukutyheli kwamehlo okanye ulusu (i-jaundice), umchamo otyheli/omdaka omnyama, umkhuhlane, ukubanda, umphimbo obuhlungu, ukopha okungaqhelekanga okanye ukukrweleka. |
| 🙂 Iimpawu ezingaqhelekanga ukuba zimbi (kodwa ukuba ziyaqhubeka, kufuneka uxelele ugqirha wakho ) | |
| |
Ufanele uwagcine njani amayeza akho?
Kubalulekile nokugcina amayeza ngokufanelekileyo. Wagcine kwindawo ephakamileyo kude nabantwana . Wagcine kubushushu obuqhelekileyo begumbi (phakathi kwe-15-30 Celsius). Lahla amayeza aphelelwe lixesha ngaphandle kokuwasebenzisa.
Umyalezo Wokuya Ekhaya
- I-Tolazamide liyeza lesifo seswekile sohlobo lwesibini. Isebenza kakuhle kuphela xa utya ukutya okunempilo kunye nenkqubo yokuzilolonga .
- Soloko uthatha idosi emiselweyo, ngexesha elimiselweyo, njengoko ugqirha wakho ekuyalele.
- Yazisa ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo kunye nazo naziphi na ezinye izifo onokuba nazo.
- Funda ngeempawu zeswekile ephantsi egazini (hypoglycemia) kwaye uhlale ugcina iswekile kufutshane neengxamiseko.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinzulu, ezinje ngokutyheli kolusu okanye ubunzima bokuphefumla, funa ingcebiso kagqirha ngoko nangoko .
- Eli yeza lelakho wedwa. Ungaze wabelane ngalo nabanye .
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 I-Tolazamide / iTolinase yipilisi esetyenziselwa ukunyanga isifo esinjani?
Eli liyeza elidala nelinamandla kakhulu (iSulfonylurea) elisetyenziselwa ukulawula amanqanaba aphezulu eswekile/iglucose egazini kwizigulane ezine-'Type 2 Diabetes'! Oku kudla ngokwenziwa xa imveliso ye-insulin yomzimba inciphile, ukuze kwandiswe ngenkani ubungakanani be-insulin kwaye kuncitshiswe iswekile.
💬 Eli yeza (iTolazamide) liyikhupha njani i-insulin emzimbeni wethu (i-pancreas)?
Emva kokuba le pilisi ingene esiswini sethu, ihlasela ngokuthe ngqo 'iipancreas' zomzimba wethu. I-insulin iveliswa ziiseli ze-beta kwi-pancreas. Le pilisi (ngokuvimba imijelo ye-K+ e-ATP) inyanzela iiseli ezivelisa i-insulin ukuba 'zikhuphe i-insulin ephezulu' ngokungathi yi-spark/current. Emva koko, i-insulin ibetha umzimba njengelitye, iqhekeza yonke iswekile (i-glucose) egazini.
💬 Zeziphi iingozi eziphambili ekufuneka abantu abasebenzisa ezi pilisi (iSulfonylurea) baziqaphele?
Eyona ngozi inkulu neyingozi kakhulu 'yi-hypoglycemia / iswekile ephantsi egazini'. Ukuba umntu omdala usela le pilisi engatyanga, i-insulin iya kwanda kwaye iswekile iya kwehla iye kwi-zero, nto leyo ebangela ukuba isigulana sibe kwi-coma size sife (siya kushukuma size sibile)! Kwakhona, ukuba siqhubeka nokusela oku, ubunzima besigulana ngokuqinisekileyo buya kwanda ngekhilogram.
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